scholarly journals SURGICAL TREATMENT OF CHILDREN WITH CONGENITAL THORACIC SPINE DEFORMITY ASSOCIATED WITH VERTEBRAL MALFORMATION

2013 ◽  
pp. 32-37 ◽  
Author(s):  
Sergey Vissarionov ◽  
◽  
Kirill Kartavenko ◽  
Dmitry Kokushin ◽  
Andrey Efremov ◽  
...  
2017 ◽  
Vol 5 (3) ◽  
pp. 80-86
Author(s):  
Aleksei E. Shul’ga ◽  
Vladimir V. Zaretskov ◽  
Galina A. Korshunova ◽  
Aleksei A. Smol'kin ◽  
Dmitrii Yu. Sumin

Rigid severe post-traumatic thoracic spine deformities result from frequent, recent high-energy trauma in children with an increasing frequency due to a variety of reasons. These types of injuries are commonly followed by spinal cord anatomic injury; therefore, the treatment of these patients warrants special attention from the ethical viewpoint. Generally, the only indication for surgical intervention is spinal dysfunction. Considering this and the patients’ ordinary severe somatic state, surgical trauma should be minimized as much as possible. However, for adequate deformity correction, effective spine stabilization and restoration of liquorodynamics is necessary. Recent studies have reported the successful use of different methods of dorsal interventions (P/VCR) in cases with unstable damages in children. Here, we present the case of a 15-year-old boy who underwent surgical treatment for coarse post-traumatic thoracic spine deformity with chronic fracture-dislocation of Th7 vertebra.


Author(s):  
Jae Taek Hong ◽  
Heiko Koller ◽  
Kuniyoshi Abumi ◽  
Wen Yuan ◽  
Asdrubal Falavigna ◽  
...  

Author(s):  
Eduardo Barros Puertas ◽  
Carlo Milani ◽  
Jos?? Carlos Melo Chagas ◽  
Valdeci Manoel de Oliveira ◽  
Francisco Prado. E. dos Santos ◽  
...  

2021 ◽  
Vol 27 (1) ◽  
pp. 68-73
Author(s):  
E.N. Shchurova ◽  
◽  
G.N. Filimonova ◽  
S.O. Ryabykh ◽  
◽  
...  

Introduction Morphological, biochemical and histopathological characteristics of paraspinal muscles have been well described in patients with idiopathic scoliosis. However, there is a paucity of literature on morphological picture of paraspinal muscles in patients with severe idiopathic scoliosis. Objective To explore how the magnitude of thoracic spine deformity affects morphological characteristics of paraspinal muscles in patients with severe idiopathic scoliosis. Material and methods A total 21 patients with idiopathic scoliosis were reviewed. The patients were assigned to two groups depending on magnitude of preoperative thoracic spine deformity. A major group consisted of patients with scoliosis of ≥ 60º (n = 11) and control group included patients with a curve < 60º (n=10). Biopsy samples were taken from muscle fragments (multifidus muscle) at the apex of the curve (major arc) at the Th6-Th10 level on the convex side while approaching to the posterior spinal structures during surgical correction of kyphoscoliosis using light microscope. The specimens were examined histologically with light microscope. Results Patients with severe idiopathic scoliosis (≥ 60º) showed evident muscle fiber atrophy and dystrophy of different extent. There were nucleus free areas and homogenized muscle fragments observed with connective tissue layers being swollen and frayed with multiple fibroblasts seen in nearly all the samples. Arterial walls were normally fibrotized. Structural changes ranged from minimal with a curve of 60º to degrading muscles with the fibers replaced by fat and connective tissues with a curve angle of 145º. Conclusion Morphological characteristics of paraspinal muscles have been shown to be severely affected by the magnitude of thoracic spine deformity in patients with severe idiopathic scoliosis. The findings should be considered in surgical correction of kyphoscoliosis with special focus on postoperative vascular and neurotropic therapy to allow wound healing and lower complication rate.


2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Ioannis Triantafyllopoulos ◽  
Andreas Panagopoulos ◽  
George Sapkas

We report three cases of a rare pattern of mid-thoracic spine injuries after horse racing falls and discuss possible causative factors and prevention measurements to reduce injury rates in professional riding and racing. Three patients, 2 male and 1 female with a mean age of 28 years old, underwent surgical treatment for mid-thoracic fractures after professional equestrian activities. The ASIA scale was E in one patient, B in the other one and A in the third. Multilevel posterior fusion was used in two patients and somatectomy plus fusion in the other. Follow up evaluation included changing of the ASIA scale, functional outcome and participation in equestrian activities. One patient fully recovered after surgery. Two patients remained paraplegic despite early surgical treatment and prolonged rehabilitation therapy. All patients had ended their professional equestrian career. This report analyzes possible mechanisms of injury and the pattern of mid-thoracic spine fractures after professional horse riding injuries. Despite skill improvements and continued safety education for horse riding, prophylactic measures for both the head and the spine should be refined. According to our study, additional mid-thoracic spinal protection should be added.


1999 ◽  
Vol 48 (4) ◽  
pp. 1096-1098
Author(s):  
Naoya Murakami ◽  
Keiichiro Okajima ◽  
Haruo Takano ◽  
Ryuuji Tsutsumi ◽  
Yoshihiro Nishi ◽  
...  

Spine ◽  
2015 ◽  
Vol 40 (20) ◽  
pp. E1103-E1109 ◽  
Author(s):  
Jing-Hui Huang ◽  
Wei-Zhou Yang ◽  
Chao Shen ◽  
Michael S. Chang ◽  
Huan Li ◽  
...  

2011 ◽  
pp. 35-40 ◽  
Author(s):  
Sergey Vissarionov ◽  
◽  
Dmitry Kokushin ◽  
Sergey Belyanchikov ◽  
Andrey Efremov ◽  
...  

2013 ◽  
pp. 13-17
Author(s):  
Konstantin Nadulich ◽  
◽  
Andrey Teremshonok ◽  
Evgeny Nagorny ◽  
◽  
...  

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